Individual provider Active NPI

Coreen J Williams

  • Family Nurse Practitioner
  • Port Townsend, WA
National Provider Identifier
1740236561
Registry record updated Mar 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60576934 Issued in WA
Practice address
834 Sheridan St
Port Townsend, WA 98368-2443
Phone
(360) 385-2200
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60576934 WA Primary
Nurse Practitioner 363L00000X CW151039 MI

Addresses

Primary practice location

834 Sheridan St
Port Townsend, WA 98368-2443

Mailing address

834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 385-2200

Other practice location 1

630 N Fairview Dr
Tacoma, WA 98406-1015
Phone (253) 448-9423

Other practice location 2

610 Caring St
Hillman, MI 49746-8818
Phone (989) 742-4583

Other practice location 3

1201 Pacific Ave Ste 400
Tacoma, WA 98402-4381
Phone (253) 300-8453

Other identifiers 3

IdentifierTypeStateIssuer
4873484MedicaidMI
0F06016OtherMIMEDICARE BILL PAY TO
2142185MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191119002908 WA Practitioner - Nurse Practitioner 0244240141 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fandm Healthcare, LLCGroup PAC ID 8628462983, 30 clinicians
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

Tacoma, WA 98406
Phone (253) 777-1423

1116 E Lauridsen Blvd
Port Angeles, WA 98362-6640
Phone (855) 722-9700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CW151039MIMDNurse Practitioner
AP60576934WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bastion Health PC Family CurrentSince Jan 14, 2022 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Mar 13, 2023 Accepting new patients
Altea Medical Washington PLLC CurrentSince Nov 1, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince Oct 8, 2025 Accepting new patients
F&M Healthcare, LLC CurrentSince Mar 23, 2026 Accepting new patients
Thunder Bay Community Health Service, Inc Past Accepting new patients
Thunder Bay Community Health Service, Inc Past Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696

6811 S 204th St
Ste 280
Kent, WA 98032
Phone (206) 229-6448

1116 E Lauridsen Blvd
Port Angeles, WA 98362
Phone (360) 452-9206

834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400

1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297

1412 SW 43rd St
Ste 240
Renton, WA 98057
Phone (253) 852-4699

2821 S Walden St
Seattle, WA 98144
Phone (206) 577-6200

555 16th Ave
Seattle, WA 98122
Phone (206) 324-6200

6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282

6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774051200000",
    "number": "1740236561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 SHERIDAN ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682443",
            "telephone_number": "360-385-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 SHERIDAN ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682443",
            "telephone_number": "360-385-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 N Fairview Dr",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984061015",
            "country_code": "US",
            "telephone_number": "253-448-9423",
            "fax_number": "253-777-1423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 Caring St",
            "address_purpose": "LOCATION",
            "city": "Hillman",
            "state": "MI",
            "postal_code": "497468818",
            "country_code": "US",
            "telephone_number": "989-742-4583",
            "fax_number": "989-742-4298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Pacific Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984024381",
            "country_code": "US",
            "telephone_number": "253-300-8453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "COREEN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-03-21",
        "certification_date": "2026-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60576934",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "CW151039",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4873484",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BILL PAY TO",
            "identifier": "0F06016",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2142185",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

Verify at the official NPI Registry.